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It is actually a reaction to the medication he was taking during the shooting, this is partially a small seizure he is experiencing commonly exhibited by involuntary tongue movements, it is very painful.

Because any piece of advertising related to the "The Dark Knight" cashes on Ledger's name and death. I can't help it other if people are stupid....to have bought up this sh*t and made it a cash cow Oh wait

Went to the dentist today for one whopper of a drill n fill... 2 shots of novacain... I looked like the joker for 3 hours after, trying not to drool and licking my lips to make sure i didn't... and it just felt weird, numb stuff...